Get Meditation Intake Form

Filling out the Meditation Intake Form is an important step in ensuring a thorough understanding of your needs and circumstances. This guide will walk you through each section of the form, helping you to complete it accurately and efficiently.

Follow the steps to complete your form with ease.

1. Click ‘Get Form’ button to access the form and open it in your online editor.
2. Fill in the date and referral source at the top of the form. These fields help the mediators understand your timeline and how you came to access their services.
3. Provide your personal information. Enter your name and the address where you are currently living. If this address is the same as your mailing address, check the appropriate box.
4. Include your contact details. Fill in your home, work, and cell phone numbers. Indicate whether you are comfortable receiving emails by checking yes or no, and provide your email address if you agree.
5. If applicable, provide information about your attorney. You will need to include their name, address, phone number, and email. If you do not have an attorney, you may leave this section blank.
6. Next, detail your current employer. Fill out their name, address, and contact information. Also, provide your job title, whether you work full time or part time, and your length of employment.
7. If you have any disabilities, indicate if you are receiving Social Security Disability Insurance (SSDI) or other private payments. Disclose your estimated annual salary and any benefits, including retirement plans.
8. Fill in your insurance details. Provide the source of your health and life insurance, along with who is insured and the general terms.
9. Complete the education section. Indicate your highest level of education, any colleges attended, and any special skills or training you may have.
10. In the section for prior marriages and children, provide necessary details about previous relationships, including spouse names, marriage dates, and information about any children.
11. Fill out details regarding inheritances before, during, and anticipated after your relationship.
12. State your marital status and details about your current living situation and efforts for reconciliation, if any exist.
13. Provide information regarding your children, including their names, ages, and any special considerations for their well-being.
14. In the status of court action section, indicate if any actions have been filed and what temporary orders may exist.
15. List issues that need to be mediated, including parenting, finances, or property division. Provide any existing agreements or proposals.
16. Complete the screening for abuse or domestic violence section by answering the questions honestly to ensure your safety.
17. Once all sections are filled out thoroughly, review your responses for accuracy, then save your changes. You may choose to download, print, or share the form as needed.

Start filling out your Meditation Intake Form online today to ensure a smooth process.